Active NPI
Claude P Dufour, PAC
- Medical Physician Assistant
- Whiteville, NC
National Provider Identifier
1265584874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 100591
- Practice address
- 823 Jefferson St
Whiteville, NC 28472 - Phone
- (910) 642-6121
- Fax
- (910) 642-8457
- NPI assigned
- Jan 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 100591 | NC | Primary |
Addresses
Primary practice location
823 Jefferson St
Whiteville, NC 28472
Mailing address
PO Box 1528
Whiteville, NC 28472-1528
Phone (910) 642-6121
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82478 | Other | NC | BLUE CROSS OF NC |
| 0120143 | Other | NC | UNITED HEALTH CARE |
| 110017485 | Other | NC | RR MCR |
| 8982478 | Medicaid | NC | |
| N20979 | Other | SC | SC MCD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100591 | NC | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257724800000",
"number": "1265584874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1528",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284721528",
"telephone_number": "910-642-6121",
"fax_number": "910-642-8457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 JEFFERSON ST",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "28472",
"telephone_number": "910-642-6121",
"fax_number": "910-642-8457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFOUR",
"first_name": "CLAUDE",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2009-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "100591",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF NC",
"identifier": "82478",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "0120143",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "110017485",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8982478",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC MCD",
"identifier": "N20979",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Whiteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.